Active NPI
Enrique Jose De la Cruz Hernandez, MD
- General Practice Physician
- Temple Terrace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME143269
- Practice address
- 9740 N 56TH St Ste B
Temple Terrace, FL 33617-5500 - Phone
- (813) 200-7717
- Fax
- (833) 449-2451
- NPI assigned
- Jul 30, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME143269 | FL | Primary |
Addresses
Primary practice location
9740 N 56TH St Ste B
Temple Terrace, FL 33617-5500
Mailing address
425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (833) 702-8383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13045 Summerfield Square Dr
Riverview, FL 33578-7402
Phone (813) 672-1385
Hospital & facility affiliations
- Enhabit Home Health
- St Josephs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Family Physicians, LLC | General Practice | Current | Accepting new patients |
| Idelis Fedeslinda Arias de la Torre | General Practice | Past | Accepting new patients |
| Orlando Family Physicians, LLC | General Practice | Past | Accepting new patients |
| Aegis Physicians Group, LLC | Past | Accepting new patients |
Locations
1130 S Semoran Blvd
Orlando, FL 32807
Phone (407) 382-1376
811 N Nowell St
Orlando, FL 32808
Phone (407) 259-2383
425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947
13045 Summerfield Square Dr
Riverview, FL 33578
Phone (813) 672-1385
9740 N 56th St
Ste B
Temple Terrace, FL 33617
Phone (813) 200-7717
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- enrique.de.la.cruz.hernandez.1@27472.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Orlando, FL
- NPI 1568563187
-
- Family Medicine Physician
- Mount Dora, FL
- NPI 1528559218
-
- General Practice Physician
- Seffner, FL
- NPI 1639747595
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tampa, FL
- NPI 1558777102
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1689920548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W COLONIAL DR STE 303",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046863",
"telephone_number": "833-702-8383",
"fax_number": "689-304-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9740 N 56TH ST STE B",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336175500",
"telephone_number": "813-200-7717",
"fax_number": "833-449-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA CRUZ HERNANDEZ",
"first_name": "ENRIQUE",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-30",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME143269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.